Ovarian Stimulation in Fertility Treatments: Process, Side Effects, and Candidates
What is Ovarian Simulation?
Ovarian stimulation is a treatment that encourages the ovaries to produce multiple mature eggs. It is done before assisted reproductive technologies (ART) like IVF, where multiple eggs are needed for fertilization and embryo development. Ovarian stimulation can be achieved through either oral medication or injections.
Step-by-Step Process of Ovarian Stimulation
The stimulation process takes 2-3 weeks but can vary depending on individual factors.
Step 1: Before starting ovarian stimulation blood tests and ultrasound scans are done to measure hormone levels and to assess the ovaries and uterine lining. This test helps the doctor customize the treatment plan.
Step 2: The medications are prescribed according to your reproductive health conditions.
Step 3: Regular blood tests and ultrasound scans are done during ovarian stimulation to track follicular growth and prevent complications such as Ovarian Hyperstimulation Syndrome (OHSS). Monitoring typically involves:
Step 4: Once the follicles reach an optimal size (usually around 18-22 mm in diameter), a “trigger shot” is administered to induce the final maturation of the eggs and prepare them for ovulation.
What are the Risks and Side Effects associated with Ovarian Stimulation?
The risks and side effects of simulation are:
- Ovarian Hyperstimulation Syndrome (OHSS): A condition where the ovaries become swollen and painful due to an excessive response to the stimulation medications.
- Multiple Pregnancies: Ovarian stimulation increases the likelihood of conceiving multiples (twins, triplets, etc.) due to the development and release of multiple eggs. Multiple pregnancies carry higher risks for both mother and babies, including preterm birth and low birth weight.
- Bloating, Breast Tenderness, and Mood Swings are common due to fluctuating hormone levels.
- Sometimes, ovarian cysts may develop and cause discomfort or require monitoring.
Related: Possible Outcomes of Ovatian Simulation
Who is a Candidate for Ovarian Stimulation?
Ovarian stimulation is used for various fertility issues and in the following scenarios:
- Women with Ovulatory Disorders such as polycystic ovary syndrome (PCOS) or anovulation (absence of ovulation).
- When the cause of infertility cannot be identified, ovarian stimulation is often used in conjunction with IUI or IVF.
- Older women can improve their fertility by stimulating their ovaries to produce more eggs.
- In cases of mild to moderate male infertility, ovarian stimulation combined with IUI can improve success rates.
Things you should avoid during ovarian stimulation
- Excessive exercise can increase the risk of ovarian hyperstimulation syndrome (OHSS).
- Saunas, hot tubs, and long hot showers can also contribute to OHSS.
- Alcohol can interfere with the effectiveness of ovarian stimulation medications and may increase the risk of complications.
- Smoking can reduce fertility and may negatively impact the success of ovarian stimulation.
- Long-distance travel can be stressful and may disrupt your treatment schedule.
Conclusion
Ovarian stimulation is a crucial part of many fertility treatments like IVF and IUI, helping to increase the number of eggs available for fertilization. While with some risks and side effects, careful monitoring and a personalized treatment plan can help maximize success rates while minimizing complications.
Consult with Sishu Fertility Clinic for the best options for your specific situation.
Sishu Fertility Clinic is best fertility clinic in Nepal aim to provide infertility treatment solution for couples with help of excellent team of Doctors, Gynecologist and Fertility experts.